1 | | Your young patient’s mother presents with diffuse aching and stiffness worsened by cold weather and stress. She recalls being treated for Lyme disease herself 2 years ago. The physical examination is remarkable for tender points bilaterally at the occiput, trapezius, lateral epicondyle, gluteus, and knee. There is no redness, swelling, or synovial thickening at the knees and elbows.
You suspect that her symptoms are due to which of the following? |